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Wisconsin rates for HCPCS 22905

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $6,165.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,011.87 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $5,623.41 / $8,317.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $3,162.28 / $5,370.32
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11